WGU D454 ADULT HEALTH III STUDY GUIDE EXAM QUESTIONS WITH
VERIFIED ANSWERS
Correct
Incorrect 0
1 of 606
Definition
After a fall at home, a client hits their head on the corner of a table.
Shortly after the accident, the client arrives at the ED, unable to see out
of their left eye. The client tells the nurse that symptoms began with
seeing spots or moving particles in the field of vision but that there was
no pain in the eye. The client is very upset that the vision will not return.
What is the most likely cause of this client's symptoms?
Give this one a go later!
retinal detachment
Explanation:
A detached retina is associated with a hole or tear in the retina caused by
stretching or degenerative changes. Retinal detachment may follow a sudden
blow, penetrating injury, or eye surgery.
, Adhere to the medication regimen.
Explanation:
All of the teaching points are important but the most important is emphasizing the
strict adherence to the medication regimen because glaucoma cannot be cured but
its progression can be slowed.
Broiled chicken with low-fiber pasta
Explanation:
A low-residue, high-protein, and high-calorie diet is recommended to reduce the
size and number of stools. Foods to avoid include yogurt, fruit, salami, and peanut
butter.
Risk for Aspiration Related to Inhalation of Gastric Contents
Explanation:
Achalasia can result in the aspiration of gastric contents. It is not normally an acute
risk to the client's nutritional status and does not affect cardiac output or
communication.
Don't know?
2 of 606
Term
Cholelithiasis
Explanation:
Calculi, or gallstones, usually form in the gallbladder from the solid
constituents of bile; they vary greatly in size, shape, and composition.
Cholecystitis is acute inflammation of the gallbladder.
,Choledocholithiasis is a gallstone in the common bile duct.
Choledochotomy is an incision into the common bile duct.
Give this one a go later!
A client with calculi in the gallbladder is said to have
What type of medication would the nurse use in combination with mydriatics to
dilate the patient's pupil?
A client with severe peptic ulcer disease has undergone surgery and is several
hours postoperative. During assessment, the nurse notes that the client has
developed cool skin, tachycardia, labored breathing, and appears to be confused.
Which complication has the client most likely developed?
A client with vertigo is scheduled to have an electronystagmography in 2 weeks.
What should the nurse instruct the client to do prior to the test? Select all that
apply.
Withhold caffeine and alcohol 48 hours before the test.
Drink a liter of fluid to help with the dye absorption
Do not eat or drink anything 12 hours before testing.
Withhold blood pressure medication 24 hours before the test.
Withhold antivertigo agents for 5 days before the test.
Don't know?
3 of 606
Term
, Removing the cerumen by means of a cotton tip applicator
Explanation:
The nurse is an important resource person to consult when a client has
an issue with the ear structure or hearing. The nurse is correct to
discourage placing anything down the ear canal that could push the
cerumen deeper toward or puncture the tympanic membrane. The
other options are appropriate to soften and lubricate the cerumen or
to irrigate the cerumen from the ear.
Give this one a go later!
The nurse plans care for a client with obesity. What does the nurse recognize is the
primary pathophysiological reason clients with obesity are at greater risk for
developing thromboembolism?
The nurse is assisting the health care provider with a gastric acid stimulation test for
a client. What medication should the nurse prepare to administer subcutaneously to
stimulate gastric secretions?
The nurse is instructing the client with dried cerumen blocking the ear canal
on potential methods to reduce symptoms. Which at-home methods of
cerumen removal are discouraged?
A nurse cares for a client who is post op bariatric surgery and the nurse offers the
client a sugar-free beverage. What is the primary purpose of offering a sugar-free
beverage?
Don't know?
VERIFIED ANSWERS
Correct
Incorrect 0
1 of 606
Definition
After a fall at home, a client hits their head on the corner of a table.
Shortly after the accident, the client arrives at the ED, unable to see out
of their left eye. The client tells the nurse that symptoms began with
seeing spots or moving particles in the field of vision but that there was
no pain in the eye. The client is very upset that the vision will not return.
What is the most likely cause of this client's symptoms?
Give this one a go later!
retinal detachment
Explanation:
A detached retina is associated with a hole or tear in the retina caused by
stretching or degenerative changes. Retinal detachment may follow a sudden
blow, penetrating injury, or eye surgery.
, Adhere to the medication regimen.
Explanation:
All of the teaching points are important but the most important is emphasizing the
strict adherence to the medication regimen because glaucoma cannot be cured but
its progression can be slowed.
Broiled chicken with low-fiber pasta
Explanation:
A low-residue, high-protein, and high-calorie diet is recommended to reduce the
size and number of stools. Foods to avoid include yogurt, fruit, salami, and peanut
butter.
Risk for Aspiration Related to Inhalation of Gastric Contents
Explanation:
Achalasia can result in the aspiration of gastric contents. It is not normally an acute
risk to the client's nutritional status and does not affect cardiac output or
communication.
Don't know?
2 of 606
Term
Cholelithiasis
Explanation:
Calculi, or gallstones, usually form in the gallbladder from the solid
constituents of bile; they vary greatly in size, shape, and composition.
Cholecystitis is acute inflammation of the gallbladder.
,Choledocholithiasis is a gallstone in the common bile duct.
Choledochotomy is an incision into the common bile duct.
Give this one a go later!
A client with calculi in the gallbladder is said to have
What type of medication would the nurse use in combination with mydriatics to
dilate the patient's pupil?
A client with severe peptic ulcer disease has undergone surgery and is several
hours postoperative. During assessment, the nurse notes that the client has
developed cool skin, tachycardia, labored breathing, and appears to be confused.
Which complication has the client most likely developed?
A client with vertigo is scheduled to have an electronystagmography in 2 weeks.
What should the nurse instruct the client to do prior to the test? Select all that
apply.
Withhold caffeine and alcohol 48 hours before the test.
Drink a liter of fluid to help with the dye absorption
Do not eat or drink anything 12 hours before testing.
Withhold blood pressure medication 24 hours before the test.
Withhold antivertigo agents for 5 days before the test.
Don't know?
3 of 606
Term
, Removing the cerumen by means of a cotton tip applicator
Explanation:
The nurse is an important resource person to consult when a client has
an issue with the ear structure or hearing. The nurse is correct to
discourage placing anything down the ear canal that could push the
cerumen deeper toward or puncture the tympanic membrane. The
other options are appropriate to soften and lubricate the cerumen or
to irrigate the cerumen from the ear.
Give this one a go later!
The nurse plans care for a client with obesity. What does the nurse recognize is the
primary pathophysiological reason clients with obesity are at greater risk for
developing thromboembolism?
The nurse is assisting the health care provider with a gastric acid stimulation test for
a client. What medication should the nurse prepare to administer subcutaneously to
stimulate gastric secretions?
The nurse is instructing the client with dried cerumen blocking the ear canal
on potential methods to reduce symptoms. Which at-home methods of
cerumen removal are discouraged?
A nurse cares for a client who is post op bariatric surgery and the nurse offers the
client a sugar-free beverage. What is the primary purpose of offering a sugar-free
beverage?
Don't know?
